2019-08-06T08:01:18-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-10-01 561468269 HOSPICE OF SCOTLAND COUNTY INC HOSP 9102767176 610 LAUNCHWOOD DR LAURINBURG NC 28352 CAMILLE UTTER CEO 9102767176 2019-08-05 1 JOHN NORMAN P01506766 7049985200 2019-08-05 67.137.57.251 2019-08-05 15:07:18 ED P 38F034F93386ECDDFAAD50F04D2486A1391B3254 7C573EA794E54661D093FC45AEACE25987ECA875 2017 2019-02-21 02:37:17Z CAMILLE UTTER 610 LAUNCHWOOD DR LAURINBURG NC 28352 4414882 0 X WWW.HOSPICEOFSCOTLANDCOUNTY.ORG X 1985 NC HEALTHCARE FOR TERMINALLY ILL PATIENTS. 16 16 0 108 0 0 164874 53785 4632434 3994075 126631 232995 13771 117925 4937710 4398780 0 0 0 0 3156927 3047749 0 0 95239 1896570 1454986 5053497 4502735 -115787 -103955 6575159 6172239 588403 294453 5986756 5877786 X TO PROVIDE THE HIGHEST QUALITY OF COMPASSIONATE CARE TO PATIENTS AND FAMILIES WHO ARE GOING THROUGH A TERMINAL ILLNESS AND DEALING WITH END OF LIFE ISSUES. 0 0 3532047 3994075 FOUNDED IN 1985, HOSPICE OF SCOTLAND COUNTY PROVIDES COMPREHENSIVE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THIS SPECIALIZED HEALTH CARE SERVICE INCLUDES PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES ON A 24- HOUR BASIS. THE ORGANIZATION ALSO PROVIDES BEREAVEMENT COUNSELING, COMMUNITY EDUCATION ON END OF LIFE ISSUES AND VOLUNTEER TRAINING.AN AFFILIATE OF THE SCOTLAND HEALTH CARE SYSTEM, THE ORGANIZATION SERVES PATIENTS IN SEVEN COUNTIES IN NORTH AND SOUTH CAROLINA. THE ORGANIZATION EMPLOYS APPROXIMATELY 50 STAFF MEMBERS, INCLUDING NURSING, SOCIAL WORK, AND SPIRITUAL SUPPORT STAFF. THE STAFF SERVE APPROXIMATELY 300 PATIENTS ANNUALLY, IN PATIENT HOMES, NURSING HOMES, ASSISTED LIVING FACILITIES, HOSPITALS, AND MORRISON MANOR, ITS 12 BED HOSPICE CARE FACILITY.THE ORGANIZATION ACTIVELY ENGAGES IN COMMUNITY AND FUNDRAISING ACTIVITIES DURING THE YEAR. ITS ANNUAL GOLF TOURNAMENT, A TWO DAY EVENT WITH OVER 150 GOLFERS, RAISED APPROXIMATELY $135,000 FOR NON-REIMBURSED HOSPICE EXPENSES. ADDITIONALLY, THE ORGANIZATION CONDUCTS CAMP SPINOZA, A THREE DAY/TWO NIGHT GRIEF CAMP FOR CHILDREN AGES 5-12, OPEN TO CHILDREN/GRANDCHILDREN OF OUR HOSPICE PATIENTS AND OPEN TO CHILDREN IN THE COMMUNITY THAT HAVE EXPERIENCED A LOSS. OTHER FUNDRAISING ACTIVITIES THAT THE ORGANIZATION PARTICIPATES IN, SUCH AS THE TREE OF REMEMBRANCE AND THE SCOTLAND COUNTY RELAY FOR LIFE, HELP SUPPORT HOSPICE AND CANCER TREATMENT RELATED ACTIVITIES. 3532047 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAULINE GRUVER 9102767176 610 LAUNCHWOOD DR LAURINBURG NC 28352 BEVERLY BOWLING TRUSTEE 1.00 X 0 0 0 BETH DUNBAR TRUSTEE 1.00 X 0 0 0 DR BILL LOFTUS TRUSTEE 1.00 X 0 0 0 LEGETTE MCLEAN TRUSTEE/FINANCE CHAIRMAN 1.00 X X 0 0 0 WESLEY QUICK TRUSTEE 1.00 X 0 0 0 NORAN SANFORD TRUSTEE 1.00 X 0 0 0 JEFF SMART TRUSTEE 1.00 X 0 0 0 CINDY STONE TRUSTEE/BOARD CHAIRMAN 1.00 X X 0 0 0 PAM SWEENEY TRUSTEE 1.00 X 0 0 0 DR STEWART THOMAS TRUSTEE 1.00 X 0 0 0 SUSAN WENTZ TRUSTEE 1.00 X 0 0 0 REBECCA CUMMINGS TRUSTEE 1.00 X 0 0 0 ANNIE CURETON TRUSTEE 1.00 X 0 0 0 DR CHIP HELMS TRUSTEE 1.00 X 0 0 0 REV RICK HODGES TRUSTEE 1.00 X 0 0 0 DARWIN WILLIAMS TRUSTEE 1.00 X 0 0 0 CAMILLE H UTTER CEO 40.00 X 116326 0 5620 PAULINE GRUVER CF0 40.00 X 91021 0 5620 DEON CRANFORD III BOARD SECRETARY 40.00 X 53810 0 5620 VALERIANA E JUTE MEDICAL DIRECTOR 32.00 X 173897 0 0 435054 0 16860 2 0 1 0 UNITED HEALTHCARE INSURANCE PO BOX 959782 ST LOUIS MO 63195 EMPLOYEE HEALTH INSURANCE 291500 SCOTISH PINES REHAB & NURSING 620 JOHNS RD LAURINGBURG NC 28352 SKILLED NURSING ROOM & BOARD 240002 2 6980 46805 53785 PATIENT REVENUE 621300 3994075 3994075 3994075 232995 232995 134027 6980 16102 117925 117925 4398780 3994075 0 350920 529994 529994 1920166 1897226 22940 125494 99140 26354 358553 276086 82467 113542 89698 23844 17188 17188 36656 36656 10957 10957 54757 54757 49644 47928 1716 52314 52314 100920 62327 38593 91113 91113 113891 85643 28248 HOSPICE COSTS 569866 569866 DME 155521 155521 PHARMACY COSTS 149221 149221 52938 3892 48873 173 4502735 3532047 875449 95239 300187 311396 454772 438651 40359 42920 4693242 2175071 2631207 2518171 3119372 2847895 29262 13206 6575159 6172239 588403 294453 588403 294453 X 5986756 5877786 5986756 5877786 6575159 6172239 -103955 -5015 0 X X 0 1 X 1 0 X 198936 211475 182169 164874 187812 945266 198936 211475 182169 164874 187812 945266 945266 102517 124652 116477 126631 232995 703272 1648538 22859430 0.57340 0.70710 X 72314 72314 4008487 4008487 345646 345646 266795 266795 2175071 -2175071 2518171 INVESTMENTS 2847895 F 2847895 X 4414882 0 4414882 -16102 -16102 4398780 4518837 16102 16102 4502735 0 4502735 PART X, LINE 2: HOSPICE OF SCOTLAND COUNTY IS A NON PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE -16,102. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 16,102. GOLF TOURNAMENT 141007 6980 134027 6507 2281 7314 141007 6980 134027 6507 2281 7314 16102 117925 1 X X X 0 0 0 0 0 0 0 0 0 VALERIANA E JUTE MEDICAL DIRECTOR 171095 0 2802 0 0 0 0 0 0 0 173897 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 WILL BE PRESENTED TO THE SCOTLAND REGIONAL HOSPICE BOARD OF TRUSTEES FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM THE DISCUSSION OF AND VOTE UPON ANY TRANSACTIONS THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE BASED ON CURRENT HOSPICE SALARY SCALES. A SALARY SCALE FOR EACH POSITION IS COMPARED FROM OUR HEALTHCARE SYSTEM, MVI,AND AVAILABLE COMPENSATION STUDIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSEEING THE AUDIT AND THE SELECTION OF AN INDEPENDANT ACCOUNTANT DID NOT CHANGE DURING THE YEAR. SCOTLAND MEMORIAL HOSPITAL 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 HEALTHCARE NC 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0